Assessment of functional ability of nonambulatory patients with obesity: after and before bariatric surgery
| Autor: | Winni Mathur, Susmit Kosta, Mathias Fobi, Mohit Bhandari, Prashant Salvi |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Bariatric Surgery India Comorbidity Quality of life Weight loss Weight Loss medicine Back pain Humans Prospective Studies Functional ability Mobility Limitation Prospective cohort study Aged Pain Measurement business.industry Recovery of Function Middle Aged medicine.disease Obesity Obesity Morbid Surgery Ambulatory Quality of Life Female medicine.symptom business Body mass index |
| Zdroj: | Surgery for Obesity and Related Diseases. 15:2087-2093 |
| ISSN: | 1550-7289 |
| DOI: | 10.1016/j.soard.2019.09.068 |
| Popis: | Introduction Functional ability is often impaired as a direct consequence of severe obesity. Bariatric surgery is the most effective treatment for severe obesity. Objective To examine the effect of weight loss after bariatric surgery on patients with impaired functional ambulatory abilities due to obesity. Settings A high-volume university-affiliated bariatric surgery center in India. Method We conducted a prospective study in a cohort of nonambulatory patients with functional disabilities (bedridden, wheelchair-bound, or walker-dependent) who underwent bariatric surgery. Data on sex, body mass index, co-morbid conditions, the severity of pain, and types of limitations in functional abilities were collected at baseline and at 1 year after bariatric surgery and analyzed. Results Forty-five patients were enrolled in this study with 100% follow-up at 1 year. The mean age and body mass index of the patients were 54.7 ± 8.5 years and 54.2 ± 8.6 kg/m2, respectively. Thirty-four (75.5%) were female, 27 (60%) were walker-dependent, 14 (31.1%) were wheelchair-bound, and 4 (8.9%) were bedridden. At baseline 88.8% and 75.5% patients had severe knee and back pain, respectively. The percentage of total weight loss was 22% and 31% at 6 and 12 months, respectively. At 1 year, 37 (82.2%) patients were ambulating independently, only 1 (2.2%) patient was still bedridden, and 7 (15.5%) patients were walker-dependent. Mild, moderate, and severe classification on all functional ability scales were significantly improved. Conclusion Weight loss after bariatric surgery results in significant amelioration of knee and/or back pain with an improvement in functional abilities and quality of life. |
| Databáze: | OpenAIRE |
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